Individual
FOLASHADE PRECIOUS ONIGBOGI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5504 NEWTON ST APT2, HYATTSVILLE, MD 20784
(240) 413-0409
Mailing address
5504 NEWTON ST APT 2, HYATTSVILLE, MD 20784-1157
(240) 413-0409
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
HHA10461
DC
Other
Enumeration date
05/20/2014
Last updated
05/20/2014
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